ALLISON DECAMILLIS (LPCC, ATR) – Mental Health Counselor, NPI 1477147569

ALLISON DECAMILLIS (LPCC, ATR) is a healthcare provider. based in Chaska, Minnesota. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPCC, ATR. They hold a License No. 11-044 (MN). The NPI Number for ALLISON DECAMILLIS (LPCC, ATR) is 1477147569

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
ALLISON DECAMILLIS (LPCC, ATR)
NPI
1477147569
Phone
(952) 240-3334
Address
1107 HAZELTINE BOULEVARD
Enumeration Date
1 March 2021
Last Update Date
6 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9522958831
Graduation Year
2004 (22 years ago)
PAC ID
0446799407
Group Practice PAC ID
3375989288
Professional Enrollment ID
I20240822002351
Address ID
MN553181000CH1107XBLVD301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness85
Years active:5State licenses:2Digital endpointsOther names

1,813 MENTAL HEALTH COUNSELOR in MN

Provider Addresses for ALLISON DECAMILLIS (LPCC, ATR)

  • 1107 HAZELTINE BOULEVARD

    SUITE 496, MD 45

    CHASKA, MN 553181000

    Phone: (952) 240-3334

    Type: Mailing

  • 5905 GOLDEN VALLEY RD

    GOLDEN VALLEY, MN 554224463

    Phone: (952) 417-2142

    Type: Location

  • 2918 VERNON AVE S

    SAINT LOUIS PARK, MN 554161842

    Phone: (612) 558-0308

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-08-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240822002351IMental Health CounselorMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55318)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3375989288View full group profile
NameSpecialtyState
Marriage And Family TherapistMN
Clinical Social WorkerMN
Marriage And Family TherapistMN
Mental Health CounselorMN

Reviews

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Frequently asked questions

Can I verify ALLISON DECAMILLIS (LPCC, ATR) with an NPI only?
You can start verification with NPI 1477147569 for ALLISON DECAMILLIS (LPCC, ATR), then check state licensing separately.
Does CMS list ALLISON DECAMILLIS (LPCC, ATR) as active?
Yes — ALLISON DECAMILLIS (LPCC, ATR) is active in the NPI listing used on this page.
What is ALLISON DECAMILLIS (LPCC, ATR)'s primary classification?
Mental Health Counselor is the headline specialty for ALLISON DECAMILLIS (LPCC, ATR) here. Clinical services aligned with this taxonomy classification.
What area does ALLISON DECAMILLIS (LPCC, ATR) serve?
ALLISON DECAMILLIS (LPCC, ATR)'s listing highlights Chaska, Minnesota; more addresses can appear in NPPES.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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